Individual
MS. MAGGIE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ORT/L
Contact information
Practice address
1324 PRINCESS ANNE RD, RALEIGH, NC 27607-4750
(910) 470-8770
Mailing address
1324 PRINCESS ANNE RD, RALEIGH, NC 27607-4750
(910) 470-8770
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10003
NC
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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